Make Artificial Intelligence a Reality

Our goal is to Fix Healthcare
data exchange #EDIFix

Rethink Healthcare Solutions with
AI-enabled auto scalable platform HiPaaS

HIPAA EDI Validation & Automation
AI driven HIPAA EDI Validation, & Automation
Auto learning and custom rules to validate HIPAA Transactions
CMS Interoperability
Enable CMS Interoperability and Patient Access Final Rule
Enable FHIR CMS mandates, Patient API and Payer to Payer API
Automate Payment Posting
Reconcile claims, claims payments and treasury data.
Automate payments posting to EHR systems
Complete Claims Data Lake
Get Claims data lake to running in days. Run analysis, machine learning and AI algorithms.
Enable Clinical Decision Support.
Monitor and Reduce Mortality Rate,
Monitor key Sepsis indicators and more

HiPaaS in action at Healthcare Insurance Plans

Largest plan : 12M+ members

Uses HiPaaS for Revenue Cycle Management - Payment Posting & to Reconcile Claims & Remittances

4M+ Medicaid members Plan (18 States)

use HiPaaS for EDI Validation for all EDI transactions

Healthcare Plan: 1.5M members

use HiPaaS for EDI Validation for all EDI transactions

4M+ Members and Providers

uses HiPaaS Engine to provide Eligibility data Response for Providers

Marketplace Plans (14 States)

use HiPaaS for EDI Validation for all EDI transactions

200K California MediCal Members Plan

uses HiPaaS to compare enrollments Full file for DHCS Plan

50K+ Benefit Administration Plan

uses HiPaaS as enrollment clearing house to submit COBRA and membership changes

2M+ Medicaid Members Plan

uses HiPaaS to send Remittances every day

Largest Hospital in Bay area

uses HiPaaS for Revenue Management - Claims Validation and check Covered vs Non Covered

CMS Interoperability for Healthcare Plans

100K members California Plan

uses HiPaaS CMS Interoperability for Provider and Patient API

80K Members WI Plan

uses HiPaaS CMS Interoperability for Provider and Patient API

1M Members VA Plan

uses HiPaaS CMS Interoperability for Provider and Patient API

HiPaaS in action at Hospitals

Largest Hospital in Bay area

uses HiPaaS for Revenue Management - Claims Validation and check Covered vs Non Covered

No. 1 Cancer Hospital in CA

uses HiPaaS for Realtime Sepsis Monitoring

No 1. Cancer Hospital in CA

uses HiPaaS for 90 days Mortality Rate Monitoring

Cancer Research Hospital in CA

uses HiPaaS to integrate Genetic Predisposition Monitoring

ACO in Texas

uses HiPaaS to integrate Care Plan data

Medical Group in Colorado

uses HiPaaS Data for Population Management Integration

Our Products


EDI Validate: AI driven HIPAA Validation & Automation

FHIR Monitor: Enable CMS Interoperability and Patient Access Final Rule

Remit Monitor RCM: Make Payment Posting and Remittance Reconciliation easy

Claims Data Lake : Claims data lake up and running in days. Run analysis, machine learning and AI algorithms.

Healthcare regulatory compliance (HIPAA)
HIPAA Healthcare Cloud Solutions

EDI Validate: Experience the future of Healthcare EDI

All-in-one L1 to L7 validation solution with automation
Custom or out of box companion guide setup for validations. Configure complex validation and compare rules based CPT, ICD-10 and HCPCS code validations

837, (I, P, D), 834, 835, 270/271, 276/277, 278, 274, 275, 820, 277CA
Smart EDI Corrections
Our auto rules validate and compare edi data. Over time learn the repeated issues and auto correct them. Audit every correction. Manual corrections are available via Work queues

Validation rules templates
Use EdiVal rules design to configure validation riles using templates by Trading Partner by Line of Business by Transaction by Submitter

FHIR Monitor: Enable CMS Interoperability and Patient Access Final Rule

Everything you need for CMS regulation Plug and Play
Patient Access API
Provider Directory API
Payer-to-Payer Data Exchange
Privacy, Security, and Standards
OpenID
3rd Party Consent and On boarding
DVinci use cases. : Out of box DVinci use cases. Payer Exchange, Provide Directory, Clinical Use Cases, Formulary Drug and Network Implementation​
Load 5 Years of Patient Data

Claims Data Lake: Load, relate and search claims data

Load 837 or any other Claims data format
Connect anywhere , anything

One repository for structured, unstructured, claims data.
Load 837, (I, P, D), 835, 270/271, 276/277, 278, 274, 275, 820, 277CA
Load Claims Attachments
Load Patient Telehealth Videos and Markers

Remit Monitor: Improve Remittance by 20%

We make Payment Posting and Remittance Reconciliation easy
Revenue Cycle Management as a Service Auto learning and custom coding rules to validate claims. Automation for ERA to Claims match, corrections and reconciliation across transactions.
1. Complete Outsourcing - End to end service with billing and coding expert
2. Technology Only - Enable our cloud service, train your staff and start using

Clinical AI Monitor: Enable Clinical Decision Support

AI Driven Clinical Decision Modeling : Collect real time Vitals, Labs and run AI algorithms to manage cases like Sepsis monitoring, mortality rate monitoring, population health and others.

Enable Interoperability : Stream real time HL7 data, FHIR resources and APIs. HL7 , FHIR & Rest API Integration and any data sources. Out of box clinical data repository build on graph model
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About

Why Choose HiPaaS?

Kubernetes Cluster

Autoscale with Kubernetes. Deploy on Cloud or On Prem - AWS, Azure and Google supported

Healthcare Neo4j GraphDB

HipaaS Store and retrieves healthcare data in Neo4j GraphDB. X12, HL7, FHIR modeling

Healthcare Interoperability Solved

Support for all Healthcare data formats – EDI, HL7, FHIR, NCDP and more. using Boomi

Secure Healthcare API

Everything is Healthcare API. Access any X12, EDI segment or element via API
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